Individual
GEORGETTE MARIEATTA HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, LCSW
Contact information
Practice address
1425 UNIVERSITY BLVD E, HYATTSVILLE, MD 20783-4618
(301) 792-5071
Mailing address
4804 WILLES VISION DR, BOWIE, MD 20720-4671
(301) 792-5071
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
LCSW13765
MD
1041C0700X
Clinical Social Worker
Primary
LC50080379
DC
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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